Chocolate and Gold Coins

Sunday, July 17, 2005

The Economics of Obesity

Every once in a while, my wife will drop a subtle hint that I need to lose weight like poking me in the tummy and saying, “Hey fatso.” Actually, I am not all that fat: only 20 pounds over my ideal weight, which is probably typical for an American male of my age. But, sure, I could do better, and I’m working on it, off and on.

So here’s an interesting question: why has obesity become such a problem in America and other countries in the early 21st century? The easy explanation is: we can afford to be obese. For eons, 99.9% of humans never were wealthy enough to afford to overindulge. For most of human history, the major dietary concern was getting enough calories, and this is still the major concern in much of the developing world. Our bodies are efficient at solving the problem of too few calories, but not so well equipped to solve the problem of too many calories. Our bodies are busy storing away calories for a famine that will never come, and we cannot reprogram them to better handle our current caloric prosperity.

The fundamental cause of obesity is the cheap availability of pre-prepared food. This includes snacks in vending machines, coffee and pastry at the coffee houses, fast food restaurants, and store baked cookies and other snacks. We are tempted at every corner to overindulge, and many of us do that.

Let me give a simple example of how ease of eating leads to overindulgence. Try the following experiment at your office: leave out a bowl of almonds with a sign saying, “Eat me” by the coffee machine. In first case, the almonds are unshelled and you leave a nutcracker. In the second case, the almonds are shelled. What do you observe? I can tell you: the shelled almond will be consumed in minutes, but the unshelled almonds will be largely ignored.

Why is that? It cannot be that the unshelled almonds aren’t as tasty. It cannot be that the calories needed to shell an almond are even remotely close to the calories you could get from eating the almond. The answer is that overindulgence is about ease of opportunity: if you increase the cost of getting the food, people will be less likely to indulge. But this doesn’t make rational sense: the effort is small compared to calories involved. If you were starving to death, the fact that the almonds were unshelled would make little difference to you, you would still eat them until the hunger subsided. But overindulgence is not about satiating hunger, but about acting on an instinct to eat food if it is available. If you have to put work into getting food, you think about it, and you might decide, “I really don’t need this.”

This is one reason why we tend to eat a different diet when we prepare our own food and when we go to a fast-food restaurant. When we prepare our own food, we are typically not hungry, so we think rationally about a good combination of taste and nutrition. When we get to work and look in the lunchbox when we are hungry we will eat whatever we packed and be satisfied with it, but we might have wished we had packed some cookies. When we go to a fast-food restaurant, we are already hungry and we have plenty of money to buy whatever. So when the server asks, “Would you like fries with that?” we might be tempted.

The vending machine is another big temptation. We may have neglected to pack cookies in our lunch but we can always put a few coins in the machine and get our snack. If you look at the people who frequent the vending machine, you will see that overweight people visit more frequently. It doesn’t matter if they are buying “healthy snacks,” they are buying food simply because it is readily available, and calories are calories.

The key to losing weight is to recognize that the true cost of food is the calories and not the money you spend. You have a calorie constraint of maybe 2000 calories a day. If you eat more than that you either have to burn those calories in exercise or you gain weight. If you gain muscle mass, you can eat more than 2000 calories a day and still be slim, but muscle takes effort to maintain. So basically, you have a budget constraint, and you should plan your diet each day according to that budget constraint.

Imagine if the food you ate were priced at ten cents per calorie, but you are given 200 dollars to spend on food or anything else per day. You wouldn’t starve, but you certainly wouldn’t overindulge. You would make much more sensible decisions about what to eat and how much to eat. You wouldn’t bother with that fifth slice of pizza and you wouldn’t be visiting the snack machine either. If you just believed that this is reality, you could easily lose weight.

The reason this strategy doesn’t work for me or for others is not because it is foolish but because we find it hard to stick to the plan for the many months and maybe many years necessary to make it work. It requires believing that you really cannot have that chocolate cake that the company offers free on special occasions simply because it will put you over your quota. You naturally think, “Life is short, and you only get so much cake offered to you. Eat it while you can.” This short-term vs. long-term conflict is at the heart of the obesity problem. And I am as guilty as most people in succumbing to the short-tem mentality.

Let me give you an analogy: suppose you went to college and they said, “Attend the lectures, read the text, and do the homework assignments. However, all tests will be given at the end of four years.” How many people could pass college in that way (not many)? People need to have a long-term goal broken down into many short-term goals. And someone needs to hold these people to these short-term goals, or else they can never pace themselves to achieve the long-term goal. People are not good at keeping with a long-term goal by self-discipline, but thankfully markets have emerged to help us.

So why haven’t markets emerged to help pace people to lose weight. Well, to some small extent some of the weight-loss companies are moving in that direction, but they are burdened by their original core philosophy: their wonderful food (in reality, not so wonderful) will help you lose weight. But a bigger reason is that it is too easy to cheat the system if you want to hold people to a weight-loss scheme. If you insist that someone must be less than or equal to X pounds by Y date, many people will get close to the date, discover that they might not make it, and then cheat by dehydrating themselves. This kind of test can also dissuade people from gaining muscle mass, which is very useful in losing fat.

The key is to develop an easy to use inexpensive technology that measures fat content and not just weight. Once weight-loss companies have this technology, then holding their clients to a reasonable weight loss goal will be safe and easy. They would be, in effect, increasing the cost of food, and forcing you to make more intelligent choices about food.

There are scales that claim to measure your body fat but my experience with them is that they are essentially useless. Underwater weighing can yield the true body fat, but it violates the easy and inexpensive criterion. This is an area that needs work.

But there is another big factor to consider which I wrote about here: once you figure out a workable system for motivating people to lose weight and you show that it works, what is there to prevent a thousand other firms from doing the same thing? You need to have an answer for that one as well.

24 Comments:

  • Hi Michael,

    I am allergic to milk and peanuts, and I am convinced that if I could consume these two things, I would be obese. I eat a lot, but my allergies force me to avoid many junk foods like ice cream, chocolate, and many cakes. Some of my genes have been nice to me, and I have pretty fast metabolism. I just hope it doesn't slow down as I get older.

    I think a lot of people seem to forget that eating healthy and exercising regularly are the keys to losing weight. Some only choose to do one of the two, and they find no weight loss success.

    We have one of those body fat digital scales in our house, and it is pretty useless. My body fat always randomly changes on that thing. If I step on the scale three times in one day, I will get three different body fat readings.

    Vikram

    By Blogger Vikram A., at 4:53 PM  

  • Hi Vikram
    I have that body fat scale and I think it is a scam. I tried picking up a common pillow while on the scale and my body fat went up by 10%!

    I could avoid peanuts easily (although I like the fresh roasted Indian peanuts) but it would be hard to avoid milk. I've got to have my coffee with milk and chai has to be made with milk. And I can't forget milk chocolate, one of my real weaknesses. Of course, if the cost of chocolate was as much as gold coins, I guess I would never overindulge.

    By Blogger Michael Higgins, at 5:34 PM  

  • Michael,

    When I cook my own food, I typically eat more than what I would if I buy food :) It's probably because I cook when I'm already hungry and an extra portion of home-cooked meal is essentially free.

    Restaurants in India serve smaller portions and people generally order several items (like 1 dosa, 2 idlis etc). And that pretty much discouraged me from buying something after my initial hunger was over. Here in US, the portions are so huge that I feel guilty if I don't finish eating what I order and typically, I eat much more. No wonder, I am overweight now ;)

    By Blogger Eswaran B, at 10:37 AM  

  • Hi Michael, am just sharing some thoughts:

    Since I have not yet started earning, I tend to be a little tight-fisted about spending money. So that cuts out restaurants and junk food. But I do indulge myself with a bar of chocolate everyday. :)

    About exercise:
    * It is generally tough for me to motivate myself to do aerobic exercises. Firstly, it's a lot of work. Secondly, jogging is monotonous and boring. But I noticed something: I find it very difficult to motivate myself to exercise alone. But it's not that difficult for exercising in the university gym where there are other people around. Maybe that's something about man being a social animal or whatever.

    * With lifting weights, I don't feel that reluctant... Probably, knowing that it improves appearance motivates.

    By Anonymous Srikanth, at 11:55 AM  

  • One more thing:
    Scott Adams (the creator of the Dilbert comic) launched a company that sells healthy food that is also tasty (called Dilberito). A sure recipe for success, one would think. But it turns out it has not been a wild success (yet).

    By Anonymous Srikanth, at 12:13 PM  

  • It's absolutely true that the more obese people visit the snack bar regularly.

    I only visit the milk vending bar (to buy chocolate milk...which is a small indulgence), and avoid all the other chips and cookies ......and am blessed with good (skinny) genes and follow a stict vegetarian diet, so have never been above a BMI of 23. I don't blink an eyelid when while eating out I take that extra spoon of ghee or lump of butter with pancakes, and that never ever fails to drive my (slightly more overweight) friends nuts! :-)

    By Blogger Sunil, at 1:29 PM  

  • hi michael
    i found the link to ur page thru indiagenie's blog and well wanted to tell u that its a very thoughtful blog. i knw what it feels like to be overweight and well have every other person giving me those " why dnt u control eating looks" ..
    ppl see the mass and not the person hidden behind all that flab...
    eating healthy and exercise is a must for good health but so is being accepted for what :)

    By Anonymous suddentwilight, at 2:06 PM  

  • Hi Eswaran:
    Big portions can lead to overeating if you feel the need to eat it all. I finally became more sensible and started acting for the "doggie bag". Now I get two meals for the price of one.

    By Blogger Michael Higgins, at 3:20 PM  

  • Related analysis: Traffic jams, obesity and spam may be caused by abundance where there was once scarcity. The short argument is that our bodies have evolved to store food because we used to live in times of uncertain food supply. We have had reliable food supply (on a local scale) only for a few thousand years, and our bodies haven't adapted to this yet. We may evolve into species that don't store much of their intake, and therefore don't suffer from obesity, with the tradeoff being that they cannot tolerate hunger either.

    By Anonymous Anonymous, at 7:58 PM  

  • Hi Srikanth, Sunil, and Suddentwilight:
    Srikanth: The main reason why young people tend to be thin is that they don't have the money to go to Starbucks every day and get a coffee and a muffin, and because they are more attive. Exercise is extremely important. It isn't just the calories burned, it is the muscle.

    As you pointed out, we are more likely to exercise if we do it with others - like playing sports.

    Sunil: First, the vegetarian diet isn't at all helpful in losing weight. I have eaten vegetarian for years, and steadily gained weight. I'm not a big believer that diet is all that important. It is how much you eat that is important. Obesity is caused by eating that extra portion that you don't need to eat - whatever it is. Obviously, that extra portion is more likely to be a chocolate cake than a plate of asparagus, but it really doesn't matter what it is.

    But I read your blog and you mentioned going to the gym from time to time. Exercise is important. The muscles really raise your metabolism. I just find it difficult to find the time to do that. Blogging has cut into my exercise time - another reason my wife hates my blog.

    Suddentwilight: Controling your weight is more difficult for some people than others. I have made some positive changes: I never visit vending machines. I never eat cheap snacks only expensive ones (I figure I can't afford to get too heavy that way). When I eat high fat foods, I always ask myself "should I stop now". It is important never to stuff oneself.
    And I usually add some fresh fruits to my lunchbox. The high water content makes them the ideal snack.

    By Blogger Michael Higgins, at 8:33 AM  

  • Aah....indeed...vegetarian diets don't necessarily help in staying lean...but specific vegetarian diets (that avoid fried foods, oily foods, and excessively starchy foods do :-)), and so does sticking to three fixed meals a day (without snacking too much). And "skinny genes" help :-)

    like you point out.....if the price of snacks double, consumption will come down. But then, why would a fast food manufacturer increase prices? There in lies all the trouble......

    Food (as a percentage of income spent) is probably too cheap, some other things are too expensive.

    This needn't be necessarily true, but when I visited Europe, I saw two things:
    1) Food serving sizes were much smaller
    2) Food was MUCH more expensive than it is in America.

    (ofcourse, there's also the obvious that food that's usually drowned in cheese in America (like Pizzas) were lighter on the Cheese (in Italy), and suchlike).

    This obviously ment that people ate smaller portions, and spent less time snacking. I saw a lot fewer obese people while I was there.......

    By Blogger Sunil, at 11:57 AM  

  • Hi Sunil
    Hmm...South Indian vegetarian diet that is low in starch and avoids deep fried foods. No rice, no idlies, definitely no vadas or dosas. Sounds like a starvation diet.

    I didn't make it clear enough in the post but I think the key to guiding us to losing weight is to increase the opportunity cost of food not necessary the market price. We can raise the cost by contracting with a weight loss company to hold us to a scheduled weight loss plan or suffer a sizable monetary penalty. I believe Weight Watchers has a plan like that. Of course, only the obese who are out-of-control will bother contracting like this, but thats a huge category of people.

    By Blogger Michael Higgins, at 1:07 PM  

  • Hi Michael,

    Does Weight Watchers really charge you more if you gain weight? That is an interesting strategy.

    Vikram

    By Blogger Vikram A., at 2:53 PM  

  • Hi Vikram
    I remember that a co-worker of my wife said she was on a special weight watchers plan that would penalize her if she did not maintain her weight. I'm not sure how that worked exactly. It might cause some people to go on idiot diets just before the weigh-in, which could be counterproductive. Could they tell the difference between fat loss and water loss? I'm not sure.

    By Blogger Michael Higgins, at 6:24 AM  

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    It'll be in a totally different area than yours (mine is about natural weight loss) I know, it sounds strange, but it's like anything, once you learn more about it, it's pretty cool. It's mostly about natural weight loss related articles and subjects.

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